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Clinical risk management

INTRODUCTION

Policies are certain principles and strategies that are implemented in an organisation, so that there is a systematic approach of getting work done (Farokhzadian, Nayeri, & Borhani, 2015). It is important to study these policies as it helps in understanding certain procedures done in an organisation. This study will examine one particular policy and its relations to nursing practice.

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EVIDENCE FOR PRACTICE ESSAY

Clinical risk management is a policy that is present in health care organisations. This includes identification of situations that can go wrong while attending to patients and factors that can influence clinical risk. It also includes systematic functions that are done so that risks can be reduced (Levett-Jones, Reid-Searl, & Bourgeois, 2018). This is an important aspect of clinical governance and students have to ensure that they carefully analyse risks, so that they can effectively manage it, when any circumstance arises. Its principles include systems, emphasis on common values and various notification systems. It has been observed that nurses at the first to report any sort of incidence that occurs in a health care organisation. This helps in analysing situations so that there can be improvements made in safety and quality (Manuel, & Crowe, 2014). It will also aid new nurses in preparing for such happenings while working as they will be given training on identifying, assessing and reducing risks.

Nurses have to take responsibilities of choosing correct courses of action while managing clinical risk. This practice ensures that health care professionals give their full attention to patients and various factors that can lead to risks. They have to understand objectives of risk management strategies, so that they are effective in preventing such situations. There are various programs that provide training and development for new nurses that work in hospitals. They are given proper guidelines that have to be followed, so that minimisation of risk opportunities can be done (Glendon, & Clarke, 2015). There must always be anticipation of risk as it can happen at any moment. Some examples are spreading of infections, worsening of patient health, hazardous environment, falls , injuries and oxygen problems. Australian government has made it compulsory for every health care organisation to adopt this policy, so that patients are protected and there is minimisation of unnecessary costs and losses. They believe that a good clinical governance starts with proper risk management.

Overall, clinical risk management can reduce accidents or events that can lead to risk, it will minimise costs, claims and insurance as well as represent a good image in the public. Nurses can learn about managing such risks by collecting information about such events, practising requirements, recording medical data, understanding how to ask for help when any incident occurs. Nurses can monitor happenings that cause risks so that they are able to analyse and determine best course of actions (Steege, & Pinekenstein, 2016). This can be done through safety and quality plans, analysis of root causes, reviewing systems, customer feedback and various other programs. Nurses are accountable for any risk that happens in health care organisations and they have to take special care of clinical risk management or that individual might lose their license to practice. Initially, they can be supervised when taking care of patients, so that they can be successful in learning how risks are to be managed (Clinical risk management, 2018). This will enable them to take care of future incidences that may occur in hospitals as well as minimise them up to an extent.

The evidences drawn from understanding clinical risk management are health care organisations have faced many incidences in which something or the other went wrong while attending to patients. In order to reduce such occurrences, medical governance decided to implement this policy, which was issued in 2018. Root causes were identified, through which a critical systems review was created (Glendon, & Clarke, 2015). The main motive of this policy was to reduce risk, loss of costs and improve overall safety and quality of health care services for patients. This practice was applied in hospitals in which nursing staff were given a chain of command, where in principles and guidelines had been provided to them, so that they could practise as well as train new nurses. Proper education was given to those who required it and they were able to effectively manage clinical risks as well as reduce it (Johnson, Sanchez, & Zheng, 2016). A systematic process had been created, so that nurses could identify methods of protection and utilise effective ways through which it can be done.

Clinical risk management is a policy that has been used by multiple organisations. They have been able to detect early signs of risk while providing care to patients. It has become an aim to provide safety under any condition and maintain the level so that there can be less incidents (Glendon, & Clarke, 2015). An important aspect of this policy is professional development and assessment of self. Nurses have to first develop themselves in to take care of patients properly. They have to be fit, so that there is minimum fatigue while working, which is a leading cause of clinical risk. When nurses are not healthy, they tend to feel tired or fatigued and are unable to take care of patients with full attention (Levett-Jones, Reid-Searl, & Bourgeois, 2018). They have to look after their mental health as well because if a nurse is stressed, it creates a lack of focus in them and this can cause clinical risks.

Nurses take responsibility of their patients and are personally accountable in terms of preventing and minimising risk. They are always working towards maintaining a safe and healthy environment as they take care of themselves, their patients and colleagues (Farokhzadian, Nayeri, & Borhani, 2015). Training programs have helped them to follow a standard procedure of reporting risks in hospitals and these nurses keep records related to health care of each patient. Supervision has aided them as they are able to easily manage clinical risks and have significantly reduced them. They regularly participate in meetings, which gives them an opportunity to discuss management of risks as well as safety of patients (Shaban, 2015). Nurses have been trained to take feedback from patients when their treatment is complete. This has helped them to give proper responses to families, so that there is a sense of assurance that the hospital in a safe environment.

Most importantly, a peaceful working environment has to be provided to nurses, as it leads to increase in awareness and productivity. This enables effective communication among nurses and clinical risks can be attended to immediately (Watts, & et al., 2015). Therefore, this policy has been successfully implemented through proper teaching strategies, discussions, programs and other teaching activities. These include role pay and meetings, where in practical sessions are conducted. This has helped newly placed nurses in understanding clinical risks and how they can be managed, which has eventually led to improvement in health care safety and quality.

Clinical risk management policy is basically concerned with enhancing the quality and safety of health services. It has been determined that, health care providers find and measure risk as a means to reduce harm to patients, workers, and visitors as well within healthcare institutions. Moreover, risk managers proactively work to prevent any incident that may damage anyone. The aim of risk management is to find possible problems before they happen, so that they can conduct risk handling activities (Ralston & et al., 2014). Clinical risk management is considered as an important component of clinical governance as it supports to the continuous improvement of the quality and also the care standard also enhanced. This is done by ensuring that chances for quality betterment are identified, and by spreading awareness regarding safety is the first area of quality (Patient Safety and Quality, 2018).

Clinical risk management involves development of flexible strategies that aim at preventing unusual negative events that may occur or if it does not possible, then reducing the harm caused will be done. Therefore, in this way clinical risk management enhances health care quality and safe delivery by establishing systems that prevent risk of harm. It has been determined that all health care institutions and services need to implement this system to improve the quality of patient's care. Moreover, the development of healthcare risk management programs are considered to contribute to a positive organisational image. It has been determined that the important part of clinical risk management is to introduce, implement, & review controls to tackle risks (Bernert, Hom, & Roberts, 2014). The three main steps of risk management are; identify, assessment and mitigation. Clinical risk management policy is all about reducing risks and preventing patients from:

  • Finding what can & does go wrong at the time of care.
  • Identifying and understanding those factors that can influence this.
  • Gaining knowledge regarding adverse events & poor outcomes.
  • Ensuring that best actions are undertaken to prevent recurrence.
  • Putting actions in place to minimise risks.

Furthermore, it has been determined that clinical risk assessment involves working with care service users in the identification & further inquiry of related factors. Apart from this, it has been determined that many patient's risks can be minimised by providing proper training to staff and doctors, and motivation strong communication among them. This can be done by counselling services for those carers working with patients, and undertaking competency assessments.

Clinical Effectiveness :-

  • To monitor and evaluate performances, quality and safety indicators are used.
  • Serious risk related incidents are reported and investigated.
  • Further, quality and safety indicators are benchmarked nationally.
  • All the discussed facilities meet the standards for accreditation.

Therefore, clinical risk management policy is considered very important for all types of organisations but it is especially very crucial in healthcare institutions because human lives might be harm due to those risks and to achieve an aim of protecting patients 7 health professionals by removing faults in the system (Cohen, & Leininger, 2014).

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CONCLUSION

This essay can conclude that clinical risk management is a pivotal policy in any health care organisation as it aids nurses and other professionals to minimise risks and prevent them as much as they can. Programs are created for this purpose, so that there is a safe environment and improvements can be made in providing these services. Nurses have to abide to this policy, as they are accountable for safeguarding their patients' health. Overall, proper planning and controlling of activities in a hospital or similar organisations can protect patients and reduce clinical risk.

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REFERENCES

  • Bernert, R. A., Hom, M. A., & Roberts, L. W. (2014). A review of multidisciplinary clinical practice guidelines in suicide prevention: toward an emerging standard in suicide risk assessment and management, training and practice. Academic Psychiatry, 38(5), 585-592.
  • Cohen, S. A., & Leininger, A. (2014). The genetic basis of Lynch syndrome and its implications for clinical practice and risk management. UK: The application of clinical genetics, 7, 147.
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